Patient Enrollment & Access Specialist

Job Description

Job Description39 Paid Days Off Each Year

Language Requirements: Bilingual in English/Spanish

Position Summary

The Patient Enrollment and Access Specialist will coordinate financial assessments of patients, bridge enrollment to empanelment, and assist with clinical access for PrimeCare clients.

Duties and Responsibilities

• Provide enrollment assistance, including, but not limited to, completing coverage applications, gathering required documentation, and troubleshooting the enrollment process, for uninsured children and adults to access subsidized, low-cost, and free health insurance programs through the Health Insurance Marketplace, Medicaid, and the Children’s Health Insurance Program (CHIP)
• Enroll patients in SNAP benefits and Cash Assistance through DHS
• Provide structured patient education on health coverage, engage in follow-up conversations, and offer renewal assistance for enrolled individuals
• Enroll patients in, and maintain, PrimeCareHealth’s Financial Assistance program
• Assist in the redetermination process for MCO members
• Ensure continuity of insurance eligibility by identifying patients with current breaks in coverage
• Empanel patients to medical home provider
• Maintain health plan enrollment roster information, patient utilization history, and provider-weighted panel size
• Distribute outreach materials to patients to build coverage option awareness
• Collaborate with patients and billing staff to troubleshoot and resolve billing issues

Required Skills or Abilities

• Knowledge of the health and human services infrastructure, health insurance programs, and public coverage options
• Ability to effectively develop and nurture relationships with a diverse group of stakeholders and communicate with potential enrollees
• Ability to work independently and coordinate multiple tasks
• Strong computer skills with proficiencies in Outlook, Word, PowerPoint, Excel, internet-based applications, and the Microsoft operating system

Required Knowledge, Experience, or Licensure/Registration

• Bilingual Spanish/English
• Bachelor's Degree in Public Health, Health Education, Social Work or related field strongly preferred
• Experience working with large and/or diverse client populations and low-income families and individuals
• Excellent interpersonal, verbal, and written communication skills
• Excellent time management, organizational, and intermediate to advanced computer skills; fast learning ability to use new technologies and systems
• Committed to achieving results under demanding time frames
• Strong ability to manage and meet multiple deadlines and goals, and maintain documentation, according to required state and federal laws and regulations
• May require some non-traditional hours, including limited evening and weekend hours

Benefits

• 27 days of PTO each year, accrued each pay period
• 3 personal days
• 1 floating holiday
• 8 paid holidays
• Medical/Dental/Vision coverage available the 1st of the month following 30 days
• Company-paid life, short-term disability, and long-term disability coverage
• Discretionary 403(b) match and profit sharing after meeting service requirements
• Flexible spending accounts
• Accident & critical illness coverage
• Pet insurance

Salary

All wages are based on relevant years of experience. The minimum rate is the wage that an individual with no patient enrollment and access experience will earn.

COVID vaccinations are a requirement for PrimeCare Community Health. Proof of full vaccination is required prior to the start date of employment.

PrimeCare Health is firmly committed to creating a diverse workplace and is proud to provide equal employment opportunities to all applicants. Therefore, PrimeCare does not discriminate on the basis of creed, color, national origin, sex, gender identity, sexual orientation, age,religion, marital or parental status, alienage, disability, political affiliation or belief, military or military discharge status.